Healthcare Provider Details

I. General information

NPI: 1083193288
Provider Name (Legal Business Name): APRIL MARTEL MS, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 GLENWOOD AVE
DOVER NH
03820-2411
US

IV. Provider business mailing address

45 GLENWOOD AVE
DOVER NH
03820-2411
US

V. Phone/Fax

Practice location:
  • Phone: 603-275-6777
  • Fax:
Mailing address:
  • Phone: 603-275-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1149
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: